50岁以下患者的全髋关节置换术：非水泥固位术效果更好吗？

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-03-01 DOI:10.1016/j.recot.2024.12.008

L. Perez Alamino, G. Garabano, J. Rodriguez, F. Lopreite, C. Pesciallo

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引用次数: 0

摘要

背景：近几十年来，髋关节置换术的无骨水泥固定越来越多，尤其是在年轻患者中。本研究的目的是比较三种不同类型的固定在50岁以下患者的长期结果。方法：评估50岁以下患者的骨水泥、混合和无骨水泥固定，随访时间至少为8年。评估假体松动、分界、并发症和存活。采用改良Harris髋关节评分进行功能分析，并收集视觉模拟量表。结果：最终纳入222例患者。两组患者mHHS和VAS评分均有显著改善。结论：全髋关节置换术具有良好的长期临床和功能预后。杂交组16年假体存活率最低，为84.2%。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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[Translated article] Total hip arthroplasty in patients under 50 years old: Does cementless fixation have better results?

Background

Cementless fixation for hip arthroplasties has increased in the last decades, particularly in younger patients. The purpose of this study was to compare the long-term results three different types of fixations in patients under 50 years old.

Methods

Cemented, hybrid and cementless fixations were assessed in patients under 50 years old with a minimum follow-up of 8 years. Loosening, demarcation, complications, and prosthesis survival were assessed. Functional analysis was performed with the modified Harris Hip Score and Visual analogue scale was collected.

Results

Final series consisted in 222 patients. Significant improvement was observed regarding mHHS and VAS score in each group. We observed statistically significant difference regarding demarcation between the groups (p < .001). The higher rate of acetabular and femoral stem loosening was observed in the cemented (20.0%) and hybrid (18.9%) group. The lowest prosthesis survival rate after 16 years was observed in hybrid group (p < .001).

Conclusion

Total hip replacement has good long-term clinical and functional outcomes. The lowest rate of prosthesis survival was observed in hybrid group with 84.2% after 16 years.

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来源期刊

Revista Espanola de Cirugia Ortopedica y Traumatologia Medicine-Surgery

CiteScore

1.10

自引率

0.00%

发文量

156

审稿时长

51 weeks

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